Provider Demographics
NPI:1548390503
Name:GASTROENTEROLOGY & HEPATOLOGY ASSOCIATES PLLC
Entity Type:Organization
Organization Name:GASTROENTEROLOGY & HEPATOLOGY ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:HANDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-826-0710
Mailing Address - Street 1:107 GLEN OAK BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075
Mailing Address - Country:US
Mailing Address - Phone:615-826-0710
Mailing Address - Fax:615-826-0910
Practice Address - Street 1:107 GLEN OAK BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075
Practice Address - Country:US
Practice Address - Phone:615-826-0710
Practice Address - Fax:615-826-0910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000039358174400000X
TN43053207RG0100X
TN39358207RG0100X
TN43503207RG0100X
TN18071363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6591329OtherCIGNA
TN3331736Medicaid
TN4109554OtherBCBS
TN9398195OtherPHCS
TNH90812OtherHEALTHSPRING
TN3331736Medicare PIN
TNH90812OtherHEALTHSPRING
TN9398195OtherPHCS